INTERVENTIONAL PAIN CONSULTANTS
NPI 1154106847
Durable Medical Equipment & Medical Supplies in Dalton, GA

Active since August 30, 2023CLIA Certified · 3 labs
1500 DUG GAP RD, DALTON, GA 30720(423) 339-9581 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2023, Aug 30, 2023 (2 updates tracked since 2023).

About Interventional Pain Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL PAIN CONSULTANTS (NPI 1154106847) is a healthcare organization registered as a durable medical equipment & medical supplies in Dalton, Georgia and active in the NPI registry since August 2023. The organization holds 3 active CLIA laboratory certificates and lists Kari Widdifield, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1154106847
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameINTERVENTIONAL PAIN CONSULTANTS
Location Address1500 DUG GAP RDDalton, GA 30720-5009
Mailing AddressPo Box 2070Cleveland, TN 37320-2070
Organization SubpartNo
Authorized OfficialKari WiddifieldPractice Administrator · (423) 339-9581
Enumeration DateAugust 30, 2023
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1154106847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1500 DUG GAP RD, Dalton, GA 30720

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2288797

Interventional Pain Consultants · Dalton, GA
Active · expires Aug 30, 2027
CLIA Number11D2288797
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorJoshua L. Hare
Laboratory Phone(423) 339-9581
Laboratory LocationInterventional Pain Consultants1500 Dug Gap Road, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2306062

Interventional Pain Consultants · Cleveland, TN
Active · expires Jun 10, 2028
CLIA Number44D2306062
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorJoshua Hare
Laboratory Phone(423) 339-9581
Laboratory LocationInterventional Pain Consultants2550 Business Park Dr NE, Cleveland, TN 37311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 44D2140491

Interventional Pain Consultants · Cleveland, TN
Active · expires Jul 2, 2027
CLIA Number44D2140491
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDr. Richard M. Knapp
Laboratory Phone(423) 339-9581
Laboratory LocationInterventional Pain Consultants102 Dunhil Place NW, Cleveland, TN 37311
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1500 DUG GAP RD
DALTON, GA 30720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interventional Pain Consultants's NPI number?

The NPI number for Interventional Pain Consultants is 1154106847. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is Interventional Pain Consultants located?

Interventional Pain Consultants is located at 1500 Dug Gap Rd, Dalton, GA 30720. The listed phone number is (423) 339-9581.

What is Interventional Pain Consultants's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Interventional Pain Consultants hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Interventional Pain Consultants was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.